Cruz S, Ko A, Chi D L. A Qualitative Study on Dentists' Communication Approaches in Managing Fluoride-Hesitant Caregivers. JDR Clin Trans Res 2023; DOI: 10.1177/23800844231203673.
Many do it badly - unengaged, detached and authoritarian.
Caregivers may be hesitant about allowing the application of fluoride varnish to children in their care. Twenty-seven dentists were interviewed about reactions which included:
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Leaving decisions entirely to the caregiver - to avoid conflict but still recommending its use - described as reductionist and low engagement
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Educating the caregiver - describing the benefits and citing the scientific evidence - moderate engagement and detachment
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Insisting on fluoride application - even when requested not to ask again, asking at every visit - authoritarian and pleading
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Engaging with the caregiver and the child - empathising, opening a dialogue and offering alternatives - tailored communication and high engagement - the preferred approach.
The authors suggest that most of these approaches are not evidence-based, and that there is a need for education in communication skills. Dental students should be exposed to evidence-based patient provider communication strategies and be able to demonstrate them.
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Hellyer, P. How to talk about fluoride applications. Br Dent J 235, 878 (2023). https://doi.org/10.1038/s41415-023-6622-y
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DOI: https://doi.org/10.1038/s41415-023-6622-y